JBJS JOPA Image Quiz: Incomplete Spinal Cord Injury

Lateral_Spine.pngThis month’s Image Quiz from the JBJS Journal of Orthopaedics for Physician Assistants (JOPA) presents the case of a 55-year-old woman with neck pain and upper-extremity weakness after a motor vehicle accident that occurred 1 week prior, during which she sustained a whiplash injury.  She notes severe bilateral arm weakness, “clumsy hands,” and mild lower-extremity weakness with walking. The bilateral upper-extremity muscle groups have a strength of 3 of 5, and the lower-extremity muscle groups have a strength of 5 of 5. Sensation remains intact throughout the upper and lower extremities.

Select from among four choices as the most likely diagnosis:

  1. Central cord syndrome
  2. Brown-Séquard syndrome
  3. Anterior cord syndrome
  4. Posterior cord syndrome

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